EL-05-253baZq
MIAMI SHORES VILLAGE �,,
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 71%105
Type Insp'n 1QL�,( C eta l ►1
Permit No. . 2 ) 253
Name C 4 \ce1
Address l NE 0b sl
Company U1 / 5 i t X (sil(( NAt
Phone # �D i'5 6
Inspection Date
Approved
Correction
Re- Insp'n Fee
RA'
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date 71%
Type Insp' n Slit( fry' co* (late - 1 - 11 . 1
Permit No. Z.:2-0O5
- ame 'Tt(0k5 - WAC,k(1,40oh
Address 11- 1\g•-• C
-;
Company ( ..UmAir) v Chu 6 ( 0\7 lbt(7v4
- (
5 .
Phone .#
Inspection Date
rV A 2
Approved
Correction
Re-In4i'n Fee
r A
1
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Request
Date812 4 Jd 5
Type Insp'n F . rIC:i 1
Permit No. LW - 2.53
Name rctnc c1 S Nadel ( ton
Address 120=i NE 9co sr
CompanjOmCS C_oYTh
Phone # (3° )1-56- 6 13
Inspection Date 8 / 2.5
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 7/28/2005
Permit Number: EL2005 -253
Applicant: FRANCOIS MACLELLAN
Owner: MACLELLAN FRANCOIS
JOB ADDRESS: 1209 NE 96 ST
Electrical Permit
Contractor JAMES DENTICO CONTRACTING INC Contractor's Address: 10055 BISCAYNE BLVD
Local Phone: 305 - 756 -6553
Parcel # 1132060143820
Permit Status: APPROVED Permit Expiration: 1/18/2006 Construction Value: $8,000.00
Work: INSTALLEMERGENCY GENERATOR AND PAD
Signed: (INSPECTOR)
Page 1 of 1
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & E1/2 LOT 16 BLK 83 LOT SIZE
Fees: Description Amount
FEE2005 -10287 Building Fee $350.00
FEE2005 -10288 CCF $4.80
FEE2005 -10289 Training and Education Fee $1.60
FEE2005 -10290 Technology Fee $8.75
FEE2005 -10291 Scanning Fee $3.00
Total Fees: $368.15
Total Fees: $368.15
Total Receipts: $0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) `i R rvCO l4 do c l{ ii {?n, Phone # 301 ¥S9- 3 y 09
Owner's Address '1 a0 q Al. S .. Caps ) l 5G, -- 6 - S
City I/0 01i S - 014 e r Zip 3 3 13 2
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name fli s £e1-/-(c?) Cenker t:7 Phone #
a
Contractor's Address ' 00S ; ` t
g 1. e CCtif d
� I
City TIic GelKes a State I-1eSr1 Zip 3‘38
Qualifier .A01 :'S Ca
State Certificate or Registration No. ECOOr0 ?ql
Architect/Engineer's Name (if applicable) C
cr
$ Value of Work For this Permit
Submittal Fee $
Total Fee Now Due $ ° !
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State die
tU 14-
PF EOVE
JUL
lectric 1
De hone #
Notary $
Scanning $ 3 •09 Radon $
Code Enforcement $
Structural Plan Review. . $
5
lumbing
r ct M C. ''N'T
Permit No. ELO3 -" Z53
aster Permit No.
Phone #
Certificate of Competency No.
c
gtuare Foo 5 ;� Qf Wo k.
Mechanical Roofmg
Zip
1'Cc ft-A eecl r
000 L
Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition T `
Describe Work: NS1� f���`l �Tb� PAC
****************************F
*** **
Permit Fee $ S ®- 00 CCF $ 4 , °vO CO /CC
Training/Education Fee $ 1 . Technology Fee $ S • 7S
Zoning Bond $
Florida Building Code Edition 2007
HIGH Velocity Hurricane Zone Uniform Permit Application Form
Fill in Specific Roof Assembly Components
and identify Manufacture
(if a component is not used, identify as ( "NA")
System Manufacture
NOA No.
Design Wind Pressures, From RAS 128 or
Calculations:
Pmax1: Pmax2: Pmax3:
Max. Design Pressure, From the Specific NOA
System
Deck:
Type:
Gauge/Thickness:
Slope
Anchor/Base Sheet & No of Ply(s)
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer:
Base Insulation Size and Thickness:
Base Insulation Fastener /Bonding Material:
Top insulation Layer.
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(s):
Base Sheet Fastener/Bonding Material:
Top Ply:
Top Ply Fastener /Bonding material:
Ply Sheet(s) & No. of
Ply(s):
Ply Sheet Fastener/Bonding Material:
Surfacing
Section C (Low Slope Application
( Faste Spacing for Anchor /Base Sheet
ent
oc @ Lap, # Rows @ " oc
" oc @ Lap, # Rows@oc
"oc @Lap, #Rows @ oc
r of Fasteners Per Insulation
Perimeter Corner
Illustrate Components Noted and
Details as Applicable:
Woodblocking, Gutter, Edge Termination,
Stripping, Flashing, Continuous Cleat, Cant
Strip, Base Flashing, Counter - Flashing,
Coping, Etc.
Indicate: Mean Roof Height, Parapet Height,
Height of Base Flashing, Component Material,
Material Thickness, Fastener Type, Fastener
Spacing, or Submit Manufacture Details that
Comply With RAS 111 and Chapter 16.
A,
•
• 1
•
•
• 1• •..
• •
11141 •
•
• •
•• ••
• • •
• •
• •
• • •
•• •
Parapet
Height
FT
•
• •
••••
' • Mean
Roof •
Height ••
••••
• •
• •• •
•
•
• •
•
•
•
• •
• •
•
• •
•
•
•
• • •
Roof System Manufacture CA -'t.,& gOoFct.,4
Product Approval number 07 — l 0 1 E , e9 g
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: P2: P3:
Maximum Design Pressure fl .
Product Approval Specific System L i
Method of Tile Attachment: pot, ere.,
(40
0
Florida Building Code Edition 2007
HIGH Velocity Hurricane Zone Uniform Permit Application Form
Deck Type:
Roof Slope
a :12
Type Underlayment:
insulation:
Fire Barrier.
Ridge Ven tilation?
Mean Roof Height: 1 5
Section D (Steep Sloped Roof System)
Steep Sloped Roof System Description
1nl Do
Fastener Type & Spacing:
tqc.
Adhesive Type:
Type Cap Sheet:
Roof Covering:
Type & Size Drip
Cap:
f'i4 Rs L /+p (' le(ct :t2:• •
Po 1 p 44+ t b
E
q0 Fe
•
.. •
•.•.
•
• ..
• •
3 It 3 I, • • • • •
x 54 . • • .
•
• •.•
13(0 I
1010
0•• •
• •
..
•
• •
•
•
•
• •
.. • •
•
Florida Building Code. Edition 2007
HIGH Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For moment based tile systems, chose either Method 1 Or 2. Compared the values for M, with the values from K. If the M. values
are greater than or equal to the M. values, for each area of the roof, then the tile attachment method is acceptable.
1 r,
Method 1 "Moment Based Tile Calculations Per RAS 127"
(P,: sty x. log _/ . - M, / =Mr, L 6 Product Approval M,
(P3: x R -27f = 1 - M, 1 =M.y Product Approval Mt
(P3: per x b _ - M, =M.a y.. Product Approval Ms
e ` ow
Method 2 " Simplified Tile Calculation per Table.Bel'
Method
Moment of Resistance.(M.) From Table Below Product Approval Mr
Mr Required Moment of Resistance* '
Mean Roof Height -e
Roof Slope 'I
38.2
36.0
0:12
5:12
6:12
7:12
15'
32.2
28.4
26.4
24.4
20'
36.5.
34.4
32.2
30.1
28.0
25.9
25'
33.8
31.6
29.4
27.1
30'
39.7
37.4
35.1
32.8
30.5
28.2
40'
42.2
39.8
37.3
34.9
32.4
30.0
Appeals.
For Uplift based tile systems use Method 3. Compare the values for F' with, the values for Fr . If the F'
values are greater than or equal to the F r values, for each area of the roof, then the tile attachment is
acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(Pi: x1: = x w:= )- w: x cos 9. =Fr,:_ Product Approval F'
(P,: x 1: = x w:= )- w: x cos 9. =F,2 Product Approval F'
(Ps: x 1: = x w:= )- w: x cos A. =F.s_ Product Approval F'
Where to Obtain Information
Description
Design Pressure
Mean Roof Height
Roof Slope
Aerodynamic Multiplier
Restoring Moment due to Gravity
Attachment Resistance
Required Moment Resistance
Minimum Attachment Resistance
Required Uplift Resistance
Average Tile Weight
Tile Dimensions
Symbol
P1 or P2 or P3
H
9
Mr
Mr
Fs
w
I =Length
Wavidth
Where to find
RAS 127 Table 1 or by an engineering analysis prepared by PE based on
ASCE 7
Job Site
Job Site .
Product Approval
Product Approval
Product Approval
Calculated
• •
Product Approval
• •
••
Calculated
Product Approval
Product Approval
•
•
•
•
All Calculations must be submitted to the Building Official at the time of permit application •' • "•
• •
•• • •
y
`Must be used in
conjuction with a fist
of moment based
tile systems
endorsed by the
Broward County
Board of Rules and
••••
• •
••••
•
• ••• •
• • • •
• • •
• • •
•••• • •
• •
•
••• •
• •
• •
•
• •
• • • •
• • • •
• • • • •
• • •
•• • •• • •
• •
High Velocity Hurricane Zones Required Owners Notification for Roofing Considerations
1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the
owner with the required roofing permit, and to explain to the owner the content of this section. The
provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and
standards of the industry for roofing system installations. Additionally, the following items should be
addressed as part of the agreement between the owner and the contractor. The owner's initial in the
designated space indicates that the item has been explained.
1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water
intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to
workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of
a zoning code, should be addressed as part of the agreement between the owner and the contractor.
2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones)of the
Florida Building Code, Building. (The roof deck is usually concealed prier to removing the existing roof
system.)
3. Common roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e., townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor
and /or owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can
be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing
nail penetrations of the underside of the decking may not be acceptable. The owner provides the option
of maintaining this appearance.
5. Ponding water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may
shorten the life expectancy and performance of the new roofing system. Ponding conditions nriky„riot be
evident until the original roofing system is removed. Ponding conditions should bmerrrcted. •• ��
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so thattjl„ipof is not • • •
overloaded from a buildup of water. Perimeter /edge walls or other roof extensionsrna' block this.. •
discharge if overflow scuppers (wall outlets) are not provided. It may be necessaiyteestall r c i •
• scuppers in accordance with the requirements of: Chapter 15 and 16 herein and.t ie l+i®rida Bail n�
Code, Plumbing. • • • • • •
•
Ow
7. Ventilation: Most roof structures should have some ability to vent natural airflow through j>1eirtarior
of the structural assembly (the building itself). The existing amount of attic ventiltiorl %mall not be
• •
•. ••
reduced.
Excep
the
. Attic spaces, designed by a Florida -li
nting, a ing shall not be required.
- is _10
gnature Date
nsed eng ed architect to eliminate
Date
• •
M I A M IOADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
MIAMI-DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 - 1563
(305) 375 -2901 FAX (305) 375 -2908
Eagle Roofing Products LLC
1575 East C.R. 470
Sumterville, FL 33585
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product
Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: Bel Air, Bel Air Double Eagle, Ponderosa, Ponderosa Double Eagle, Golden Eagle
Low Profile Concrete Tiles
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement ofiwy
product, for sales, advertising or any other purposes shall automatically terminate this NQA. Failure tdapty
with any section of this NOA shall be cause for termination and removal of NOA. • • • • • • •••
• • •
•
•
•
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, lends, and follewed by •
the expiration date may be displayed in advertising literature. If any portion of the NOA JS tittlayed,.t? M t.shall •
be done in its entirety. • "' ••••
••• •
• • • •
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacte distributors
and shall be available for inspection at the job site at the request of the Building Official.; •
This revises NOA# 06-0526.10 and consists of pages 1 through 9.
The submitted documentation was reviewed by Alex Tigera.
• •
• • •
•• •
• •
•
••••
• •
••• •
NOA No.: 07-1018.08
Expiration Date: 10 /05/11
Approval Date: 12/13/07
Page 1 of 9
•
•
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable) N (-
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
chc 05/13/03
Owner or A_ent
The for ' oing instrument was acknowledged before me this
day f a �
Y :.- � , 20 b y
who is ersona y known to me or who has produced who is p known to me or who has produced
As identification • - d' `` in
r, � • Cote a s identification
**************** * * * * * ** * ** *** * ** * ** *** ** * ** ** **
APPLICATION APPROVED BY:
State Zip • 1p
Signature
My Commission Expires: �� ir3,�7i�7)Qra My Commission Expires:
Contractor
The forego <.i _ instrument was acknowledged before me this
day of
20 CAA by 4 S te® ,
/ 4,DcO�,
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
2 ' Yet- Examiner
Engineer
Zoning
Cote
� i 1n ; :1
Q
6 nozeigAPra
ROOFING ASSEMBLY APPROVAL
Category:
Sub - Category:
Material:
Deck Type:
1. SCOPE
This approves a new roofing system using "Low Profile Concrete Tile" as manufactured by Eagle
Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance.
For locations where the pressure requirements, as determined by applicable Building Code does
not exceed the design pressure values obtained by calculations in compliance with RAS 127 using
the values listed in section 4 herein. The attachment calculations shall be done as a moment based
system.
2. PRODUCT DESCRIPTION
Manufactured by Test
Applicant
Bel Air Concrete
Tile
Bel Air Double
Eagle Concrete Tile
Ponderosa Concrete
Tile
Ponderosa Double
Eagle Concrete Tile
Golden Eagle
Concrete Tile
Trim Pieces
Dimensions Specifications
L = 17"
W= 12 /a"
Thickness = /s"
L = 17"
W= 12' /a"
Thickness =V2"
L= 17"
W= 12 /4"
Thickness ='"
L= 17"
W= 12
Thickness = %i"
L= 17"
W = 12 /a"
Thickness = /2"
I = varies
w = varies
varying thickness
Roofmg
07320 Roofing Tiles
Concrete
Wood
TAS 112
TAS 112
TAS 112
TAS 112
TAS 112
TAS 112
Product
Description
Flat profile concrete roof tile equipped with
two nail holes. For adhesive set, direct deck
or battened nail -on applications.
Flat profile concrete roof tile equipped with
two nail holes. For adhesive set, direct deck
or battened nail -on applications.
Flat profile concrete roof tile with slate finish
equipped with two nail holes. For adhesive
set, direct deck or battened nail -on
applications.
Flat profile concrete roof tile with shake finish
equipped with two nail holes. For adhesive
set, direct deck or battened nail -on
applications.
Flat profile concrete roof tile brushed finish
equipped with two nail holes. For adhesive
set, direct deck or battened nail -on ,,••••
•
applications. • •
••••
.. • • ...
Accessory trim, clay roof piecQs•for use at. •
hips, rakes, ridges and vallerteeruinations. •
Manufactured for each tileatro�frl2.
••••
• •• •
• •
• . .
. • .
.•. •
•.
•
• •
NAA P¢o.: wimps
Expiration Date: 2t1 fQ § /.li
Approval Date: 12/13/07
Page 2 of 9
2.1 SUBMITTED EVIDENCE:
Test Agency
PRI Asphalt Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Celotex Corporation Testing
Service
Celotex Corporation Testing
Service
Walker Engineering, Inc.
Walker Engineering, Inc.
Test Identifier
ERPF- 001 -02 -01
7161 -03
Appendix III
7161 -03
Appendix M❑
7161 -03
Appendix If
PO402
Letter Dated Aug. 1,
1994
P09647 -01
94 -084
25- 7094 -(2, 5, & 8)
25- 7183 -(5 thru 6)
25- 7214 -(1, 5 , & 8)
25- 7487 -2
25- 7496 -(1 & 4)
25- 7804 -6
520109 -1
520111 -4
520191 -1
Calculations
Calculations
Test Name/Report Date
TAS 112
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102(A)
Wind Tunnel Testing
TAS 108 (Nail -On)
Withdrawal Resistance
Testing of screw vs. smooth
shank nails
Wind Tunnel Testing Aug. 1994
TAS 108 (Nail -On)
Wind Tunnel Testing Aug. 1994
TAS 108 (Mortar Set)
Static Uplift Testing May 1994
TAS 101 (Mortar Set)
Static Uplift Testing Oct. 1994
TAS 102
Static Uplift Testing Feb. 1995
TAS 102
Static Uplift Testing March, 1995
TAS 102
Static Uplift Testing Dec. 1995
TAS 102
Static Uplift Testing Dec. 1995
TAS 102
Static Uplift Testing Sep. 1996
TAS 102
Static Uplift Testing Dec. 1998
TAS 101
Static Uplift Testing • • March•1 $ 9B • •
TAS 101 •••• : • ••• •
Aerodynamic Multiplier • Sep. 2016 •
Restoring Moments Duett• • ...Sep. 2006. .
Gravity
•••• •
• •
• ••
• •
Aug. 2006
Dec. 1991
Dec. 1991
Dec. 1991
Sept. 1993
• • • •
• •
••
•
• •
tiOAZ1lo.: 07 1018.08
Expirafionbate: 111/03/14
Approval Date: 12/131117
Page 3 of 9
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight -W (Ibf)
Length -I (ft)
Width -w (ft)
Bel Air, Bel Air Double
Eagle, Ponderosa, Golden
Eagle, Ponderosa Double
Eagle Flat Tile
11.4
1.42
1.03
Table 2: Aerodynamic Multipliers - A (ft
Tile
A (ft
A (ft
Profile
Batten Application
Direct Deck Application
Bel Air, Bel Air Double Eagle,
0.301
0.278
Ponderosa, Golden Eagle,
Ponderosa Double Eagle Flat
Tile
3. LINIITATIONS
4. INSTALLATION
4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle,
Ponderosa Double Eagle Flat Concrete Roof Tiles and its components shall be installed in
strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120.
4.2 Data For Attachment Calculations
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in
accordance with TAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform
quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to
the Building Code Compliance Office for review.
3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications
Standards listed section 4.1 herein.
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope
unless stated otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with chapter 29 of the SFBC.
• •
•
• •
.. •
•
••••
• •
• •
....
• • • •
• • •
. . •
•
• •
....
. •
• •
. .. . .
• • •
• •
klOtt 07=1018.08
Expiration Date: a61U lad
Approval Date: 1Z7P3107
Page 4 of 9
Table 4: Attachment Resistance Expressed as a Moment - M1(ft
for Nail -On Systems
Tile
Profile
Fastener Type
Direct Deck
(min 15/32" plywood)
Direct Deck
(min. 19/32" plywood)
Battens
Bel Air, Bel
Air Double
Eagle,
Ponderosa,
Golden
Eagle,
Ponderosa
Double
Eagle Fiat
Tile
2 -10d Ring Shank Nails
30.9
38.1
17.2
1 -10d Smooth or Screw
Shank Nail
7.3
9.8
4.9
2 -10d Smooth or Screw
Shank Nails
14.0
18.8
7.4
1 4t8 Screw
30.8
30.8
18.2
2 #8 Screw
51.7
51.7
24.4
1 -10d Smooth or Screw
Shank Nail (Field Clip)
24.3
24.3
24.2
1 -10d Smooth or Screw
Shank Nall (Eave Clip)
19.0
19.0
22.1
2 -10d Smooth or Screw
Shank Nails (Field Clip)
35.5
35.5
34.8
2 -10d Smooth or Screw
Shank Nails (Eave Clip)
31.9
31.9
32.2
2 -10d Ring Shank Nails' 50.3 65.5 48.3
1. Installation with a 4 tile headlap and fasteners are located a min. of 23/2" from head of tile.
Table 3: Restoring Moments due to Gravity - M (ft-Ibf)
Tile
Profile
3 ":12"
4 ":12"
5 ":12"
6 ":12"
Greater than
7 ":12"
Bel Air, Bel
Air Double
Eagle,
Ponderosa,
Golden Eagle,
Ponderosa
Double Eagle
Flat Tile
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
7.48
7.71
7.37
7.59
7.22
7.44
7.05
7.27
6.86
7.07
•.•.
.• •
• •
• • •
•• • ...
• .
• • ••• •
• .• •
•• •
•
••••
• •
•• ••
• • •
• • •
:10411o.: 074018.0A
ExpirftfionVate: tf1/09/i1.
Approval Date: 1203/07
Page 5 of 9
• • •
.••• • •
• •
••••
)•• •
••
•
•
• •
.
•
•
•
Table 5: Attachment Resistance Expressed as a Moment M (ft -1bf)
for Two Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Bel Air, Bel Air Double Eagle,
Ponderosa, Golden Eagle, Ponderosa
Double Eagle Flat Tile
Adhesive
31.3
2 See manufactures component approval for installation requirements.
3 Flexible Products Company TileBond Average weight per patty 13.9 grams.
Polyfoam Product, Inc. Average weight per patty 8 grams.
Table 5A: Attachment Resistance Expressed as a Moment - Mt (ft -Ibf)
for Single Patty Adhesive Set Systems
Tile Profile
Tile Application
Minimum Attachment
Resistance
Bel Air, Bel Air Double Eagle, Ponderosa,
Golden Eagle, Ponderosa Double Eagle Flat
Tile
PolyProTM
118.9
PolyProTM
40.4)
4 Large paddy placement of 45 grams of PolyProm
5 Medium paddy placement of 24 grams of PolyProTM.
Table 5B: Attachment Reslstance Expressed as a Moment - Mi (ft -Ibf)
• for Mortar or Adhesive Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Bel Air, Bel Alr Double Eagle, Ponderosa,
Golden Eagle, Ponderosa Double Eagle Flat
Tile
Mortar Set"
43.9
6 The -rite Roof Tile Mortar.
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See
Detail Below), or following statement: "Miami -Dade County Product Control Approved ".
EA iiEL 7
FLORIDA
• •
BEL AIR, BEL Am DOUBLE EAGLE, PONDEROSA, GOLDEN EAGLE, PONDERpBA:DOUBCC •
EAGLE CONCRETE ROOF TILE LABEL, SUMTERVILLE PLA1U•••• e •• •
•
(LOCATED ON UNDERSIDE OF TILE) •
•
1VOA Oro.: 07 -1 ®1'8 9S
Expiration pate: 14W 55j1;
Approve* Date: 12/13/0
Page 6 of 9
• • •
• •
• •
• • •
•• •
• •
•
.•
• •
• •
•
•
•
• • •
•• • •
• •
••••
ITEM
BATH TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 IP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES- ..
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS ' I A !
1 -`
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4 TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
1!! =r ,. «, it it
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APk,.,?,ICITION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable building code
in order to properly evaluate the installation of this system.
PROFILE DRAWINGS
BEL AIR
• •
• • ••••
• • • •
•• • • •• •
• • • •
•• •
•
• • •
•••• ••••• • •
NEh�t No.: Q7- 1e?S0$ • •
ExpitddR 'pate: 10705,(1t
Appiovft?Date:12 /13/07 •
• • • Page 7di9 •.
•
• •
• • •
•• •
• • •
• • •
• •
BEL AIR DOUBLE EAGLE
PONDEROSA
PONDEROSA DOUBLE EAGLE
... •
• •
••••
• • • •
•• • •••• •
•
• • •
•• •
•
•
•••• ••••
lvfhe f•To.: 07- 181'&8$
Expis pate:10fOSI1lt
Approve Date: 12 /13/8?
Page 8 of 9
• • . •
• •
• •
•
• •
• • • • •
• • •
•• • •••. • •
• •
GOLDEN EAGLE
END OF THIS ACCEPTANCE
.
• •
• • ••••
• • • •
•• • • •• • •
• • •
•• •
•
•
•••• ••••
1N1044.1tio.: 07%01111108
Exgiratiaa Date: 10/05/11
Apg,aaa►1 12/11
Page 9of 9
• • •
• • • •
• •
• •
•
• •
• • • •
• • •
• • • • ••• • •
• •
MIA D
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
Polyfoam Products, Inc.
11715 Boudreaux Road
Tomball, TX 77375
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product
Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the
AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality
assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur
the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or
material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO
that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: Polypro® AH160
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7
The submitted documentation was reviewed by Jo rge L. Acebo.
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
• •
• • •
•• •
•
• •
•
•
•
• •
• • •
•• •
.•••
..•.
• .•.
• • •
•. •
NQX'l1o.. 06-02(4.17.•
Expfratitniate: 05/112/11
ApprdM date: 04 /13/06.
" " Page 1 oil
• •
•
.•••
• •
•
•
•
•
• •
• •
• •
•
•
•
•
•
ROOFING ASSEMBLY APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2
of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by
applicable building code, does not exceed the design pressure values obtained by calculations in
compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high
profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a
moment based system for single patty placement, and as an uplift based system for double patty systems
PRODUCTS MANUFACTURED BY APPLICANT:
Product
Dimensions
Polypro® AH160 N/A
Foampro® RTF1000 N/A
ProPackoi) 30 & 100 N/A
PRODUCTS MANUFACTURED BY OTHERS:
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having .a current NOA which
list moment resistance values with the use of Polypro AH160 roof tile adhesive.
PHYSICAL PROPERTIES:
Property.
Density
Compressive Strength
Tensile Strength
Water Absorption
Moisture Vapor Transmission
Dimensional Stability
Closed Cell Content
Note:
Test
Specifications
TAS 101
Test
ASTM D 1622
ASTM D 1621
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
ASTM D 2856
Product Description
Two component polyurethane foam
adhesive
Dispensing Equipment
Dispensing Equipment
Results
1.6 lbs. /ft.'
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft
3.1 Perm / Inch
+0.07% Volume Change @ -40° F., 2 weeks
+6.0% Volume Change @158°F., 100%
Humidity, 2 weeks
86%
The physical properties listed above are presented as typical average values as determined
by accepted ASTM test methods and are subject to normal manufacturing variation. .' ...
•
• • •
...•
.• •
•
• • • •
• • •
•• •
•
NQA •1 3 06 •
Expiratibl'1late: 05/16711
Appr8 ari te: 04 /lir06
• • •' Page 2 of 7 • •
• • •
• •
• •
•••'•••
• • •
• • •
.. • • ••
• •
•
•
•
• •
• •
•
•
.• •
•
••
•
•
EVIDENCE SUBMITTED:
Test Agency
Center for Applied Engineering
Miles Laboratories
Polymers Division
Ramtech Laboratories, Inc.
Southwest Research Institute
Trinity Engineering
Celotex Corp. Testing Services
LIMITATIONS:
1.
MS
W
Test Identifier
#94 -060
257818 -1 PA
25- 7438 -3
25- 7438 -4
25- 7438 -7
25 -7492
NB -589 -631
9637 -92
01- 6743 -011
0 1- 6739- 062b[1]
7050.02.96 -1
528454 -2 -1
528454 -9 -1
528454 -10 -1
520109 -1
520109 -2
520109 -3
520109 -6
520109 -7
520191 -1
520109 -2 -1
Test Name/Report
TAS 101
TAS 101
SSTD 11 -93
SSTD 11 -93
SSTD 11 -93
ASTM D 1623
ASTM E 108 04/30/93
ASTM E 108 11/16/94
ASTM E 84 01/16/95
TAS 114 03/14/96
TAS 101 10/23/98
TAS 101 12/28/98
TAS 101 03/02/99
Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire
rating.
2. Polypro0 AH160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for
their tile assemblies shall test in accordance with
5. Roof Tile manufactures acquiring acceptance for
their tile assemblies shall test in accordance with
r
F`
F'= \2 "
the use of Polypro® AH 160 roof tile adhesive with
TAS 101.
the use of HANDI -STICK roof tile adhesive with
TAS 101 with section 10.4 as modified herein.
• •
• • •
•• •
•
•
• •
• •
• • •
•• •
Date
04/08/94
12/16/96
10/25/95
11/02/95
12/12/95
02/01/94
• •
• •
••••
• • .
..
• • •
•• •
NO Yoe: 06- 02%1,Q4 •
Expiration mate: 05/1p01 .
Approvwl'iate: 04/13/0%;
;
Page 3 oft
•
•
•
•
•••••
INSTALLATION:
1. Polypro® AI may be used with any roof tile assembly having a current NOA that lists uplift
resistance values with the use of Polypro® AH160.
2: Polypro® AH160 shall be applied in compliance with the Component Application section and the
corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with
the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift
based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade
County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof
tile assembly NOA
3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with
Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating
Instruction and Maintenance Booklet.
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam
Products, Inc. Polyfoam Products Inc. shall supply a List of approved applicators to the authority
having jurisdiction.
5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive.
The mix ratio between the "N' component and the "B" component shall be maintained between 1.0-
1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as
determined at calibration. No other settings shall be approved.
6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing
equipment only.
7. Polypro® AH160 shall not be exposed permanently to sunlight.
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after
Polypro® AHI 60 has been dispensed.
9. Polyproii) AH160 placement and minimum patty weight shall be in accordance with the 'Placement
Details' herein. Each generic tile profile requires the specific placement noted herein.
Flat, Low, High Profiles
High Profile (2 Piece
Barrel)
Flat, Low, High Profiles
Flat, Low, High Profiles
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement
Detail
#1
#1
#2
#3
Single Paddy
Weight Min.
(grams)
35
17 /side on cap and
34 /pan
24
Two Paddy Weight
per paddy Min.
(grams)
N/A
N/A
N/A
8
LABELING:
All Polypro® AH160 containers shall comply with the Standard Conditions listed herein.
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the
installation of this system.
• • •
•. •
•
•..•
• •
••••
• •.•
• • •
•• •
•
NOW M.: O6-02%1Q7,'
ExpiratFdh fate:
Ap pr5ZAf16w te: o4/13/ob.:
•• •• Page 4of;
• • •
• • • •
• • •
• • •
•• • • ••.. •
ADHESIVE PLACEMENT DETAIL 1
SINGLE PATTY
1) Place enough adhesive to achieve 11 to 23
square Inches In contact with the pan the
2) Turn coven; upside down Place adhesive 112 M.
To 1 bi. From outside edge of cover tile.
Then install the the.
Underlayment
Samoa
top portion
Of the ens
Course cover tile.
Abut tosecood course of
pan Ulm Ensure cave end of
pan and cover tiles are
Flush at eave tine.
Eave closure
(mortar shown)
Weephote Fascia Bo
Optional2s4's for
steep pitch applications
Nail through plastic cement
; ortar
od longitudinal of the
NOA No.: 06- 0201.02
Expiration Date: 05/10/11
Approval Date: 04/13/06
Page 5 of 7
Sheathing
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
....
• •
.•.. •
• • • •
.. • • ••• •
•
N.OA1'Qp : Ob-O&1 T.SZ •
Expiraf6it bate: 05/!0•/11
Appf tte :047f3106
•• •• Page 6o.'7
• • •
• • • •
• •
• • •
•• •
• • •
•• •
•
•
••••
• •
•
•
•
•
•
•
•
•
• •
•
•
Nall through plastic cement
■ 3 in.
I x3in.
Single paddy on
under
layment
Single paddy
on top of tile
Single paddy
under tie
ADHESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
Paddy
(between tile)
Paddy
(under tile)
1�
/,Eave course
2 I X 7In. medium
size paddy eave
Fascia ' course only
Nail through plastic cement
Underlayment
1
r e 3 in.x 3 In.
Single 41n. ■
paddy on
under.
Iayment
Single paddy
on top of tile
Eave
Course
Single paddy under tile
Single paddy between tile
2 in. x 7 hi. medium
size paddy eave
course only
Fascia
Weephole
Eave closure
Drip edge
Nail through plastic cement
�tf'tM1i
1 in.x 3 in.
Single paddy
on underta
Single paddy
on top of tile
Eave Course
Single paddy
under tile
Single paddy
between tile
7
Eave Closure
2In. x 71n. medium
sae paddy eave course only
Fascia
END OF THIS ACCEPTANCE
0000
• •
• • •.0.
• • • 0 000
.• •
.. •
•
•
NQ'Mis 06- 0201 •
ExpiratinVate: ij1 ,
Appr(ilrlike: 04/13/06.:
" Page 7of
• • •
• • • •
• • •
• • •
• • • 0000
•
• •
•
•
•
•
• •
••
•
•
•
• •
Miami Shores Village
Building Department
\lam
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
-Permit No. 0 .3'_ -
Job Name/VP- .k ' lAe r/../
ELECTRICAL CRITIQUE SHEE
p to wd ,�. e.0.0/ "ice i'li roole J , e
e )J�.a2r -S e'e fi l - C
Dates »Je ,Vdi/e.
�- 7A iree A ,,/a ,l- //c
7/z42#4 -
/AP t--,t="2- N/7 V
1 X '`797-4 a.,K . N(4
C 7 4J 7 ��- ;e" lie /' 10,,-vA y-aev v.
Datee' Z 4 17,
Type Insp'n
Permit No. t--L - —
Name 4 tcli 1c-01 3 Hoc le 1 1 0/
Address 1 fl 9(c)
Companyb ) 1-11 Q C .
Phone # 153
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Inspection Date 8 / 2_ iccc:,
Approved
Correction
Re-Insp'n Fee
3
Date '- ' / - ``' ,_' ?
Type Insp'n
Permit No._ - —' n 'r
Name Lit? CT' IIL_°I
Address 1 e ' : `7 r
Company --
�
Phone # ° I
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Zi